NRNP 6552 Final Women's Health – Questions &
Proper Answers
How does copper IUD work? Right Ans - Causes an inflammatory response
with spermacidal response
How do levonorgestrel IUDs work? Right Ans - Release low doses of
progesterone daily to thicken cervical mucus
How long is the copper IUD good for? Right Ans - 10 years
When can an IUD be inserted? Right Ans - At anytime pending negative
pregnancy test
When can an IUD be placed postpartum? Right Ans - 4 weeks
What IUD can be used for emergency contraception? Right Ans - Copper
IUD
Most common side effects of copper IUD? Right Ans - Prolonged heavy
bleeding and dysmenorrhea
Most common side effect of LNG IUDs? Right Ans - Unscheduled bleeding
Other side effects of LNG IUD? Right Ans - Lower abdominal pain
Acne
Back pain
Breast tenderness
Headaches
Mood changes
Nausea
Which device is approved for menorrhagia? Right Ans - Mirena
When does ovulation return following Nexplanon removal? Right Ans - 6
weeks
Side effects of Nexplanon? Right Ans - Irregular bleeding and amenorrhea
, Primary reason for removal of Nexplanon? Right Ans - Irregular bleeding
Define tubal occlusion Right Ans - Female sterilization in which the
fallopian tubes are permanently blocked, which prevents sperm from
ascending the reproductive tract and fertilizing an ovum
Risk related to tubal occlusion Right Ans - Ectopic pregnancy
Define vasectomy Right Ans - Cutting or blocking of both vas deferens
which are the small tubes that carry sperm from the testes to become part of
the seminal fluid
Benefit of combined oral contraceptives vs. progestin only Right Ans -
More predictable bleeding patterns due to stabilization of the endometrium
with estrogen
Types of combined oral contraceptives Right Ans - Oral
Patch
Ring
Types of progestin only contraceptives Right Ans - IUD
Implant (Nexplanon)
Oral (POP, mini-pills)
Injection (Depo)
Long term combined oral contraceptive use increases the risk for Right Ans
- Cervical cancer- this risk reduces following cessation
When can combined contraceptives be started in postpartum women?
Right Ans - 21 day postpartum due to risk for VTE
What is quick start for COCs? Right Ans - Beginning the pill at any time
during the menstrual cycle and using another form of contraception for 7 days
Contraindications to combined oral contraceptives Right Ans -
Thromboembolic disorders, CVD/CAD (stroke, heart attack, untreated
hypertension), Breast cancer/estrogen-dependent cancer, Liver (cirrhosis,
liver tumor, gallbladder disease*), Migraine with neurologic findings ("aura"),
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